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DR. JAROSLAW B DZWINYK MD
NPI 1427164367
Orthopaedic Surgery in Chicago, IL

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
5215 N CALIFORNIA AVE, STE. 804, CHICAGO, IL 60625(773) 878-8200(847) 520-9190 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2021, Oct 30, 2020 (2 updates tracked since 2020).

About Dr. Jaroslaw B Dzwinyk Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAROSLAW B DZWINYK MD (NPI 1427164367) is an individual orthopaedic surgery provider in Chicago, Illinois, licensed in Illinois (036068424) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Northwestern University Feinberg Medical School (1982).

NPPES Registry Identity

NPI1427164367
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAROSLAW B DZWINYKCredential: MD
Location Address5215 N CALIFORNIA AVE, STE. 804Chicago, IL 60625-7014
Mailing Address2740 W Foster Ave, Ll7Chicago, IL 60625-3500 · (773) 878-8200 · Fax (773) 293-4197
Phone(773) 878-8200
Fax(847) 520-9190
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1982
Enumeration DateAugust 22, 2006
Last NPPES UpdateApril 7, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1427164367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 036068424
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5215 N CALIFORNIA AVE, Chicago, IL 60625
Open in Google Maps ↗

Other Identifiers 4

Other1619562IL · Bc/bs
Other40612079Ptan
Medicaid036068424IL
Other200017095IL · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jaroslaw B Dzwinyk Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628032927
PECOS Enrollment IDI20041116001127
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jaroslaw Dzwinyk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Swedish Covenant Management Services, Inc
0.1 mi
Emergency Medicine
5140 N CALIFORNIA AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
  • 350 clinicians in this Medicare group
NPI 1962049551 (847) 570-2040
Endeavor Health Medical Group
6.1 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
700 services78 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
173 services80 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
134 services68 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
85 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
86%64 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,933 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
5%66 patients1/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%61 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
40%738 patients2/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
67%291 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%291 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 299 patients
0%299 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
9%291 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
80%20 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIROSLAWA MICHALCZYK
Registered Nurse
5215 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 561-5809
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Clinic/Center (Mental Health (Including Community Mental Health Center))
5215 N CALIFORNIA AVE, SUITE F101
CHICAGO, IL 60625
Cook County (773) 989-1609
NICOLE REA
Social Worker
5215 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 989-1609
DANIEL SETH MERRICK MD
Urology
5215 N CALIFORNIA AVE, STE F803
CHICAGO, IL 60625
Cook County (773) 878-7555
MATTHEW AARON MEADOWS MD
Urology
5215 N CALIFORNIA AVE, SUITE F803
CHICAGO, IL 60625
Cook County (773) 878-7555
RYAN GRANT SALZMAN DO
Student in an Organized Health Care Education/Training Program
5215 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 878-8200
DR. IRYNA ALEKSANDROVA MD
Family Medicine
5215 N CALIFORNIA AVE, 604
CHICAGO, IL 60625
Cook County (773) 878-3627
DAYEON KANG DO
Family Medicine
5215 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 989-3808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaroslaw Dzwinyk's NPI number?

The NPI number for Jaroslaw Dzwinyk is 1427164367. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Jaroslaw Dzwinyk located?

Jaroslaw Dzwinyk practices at 5215 N California Ave Ste. 804, Chicago, IL 60625. The listed phone number is (773) 878-8200.

What is Jaroslaw Dzwinyk's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jaroslaw Dzwinyk enrolled in Medicare?

Yes. Jaroslaw Dzwinyk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jaroslaw Dzwinyk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaroslaw Dzwinyk reassigns Medicare benefits to 2 organizations: Swedish Covenant Management Services, Inc (Chicago, IL) and Endeavor Health Medical Group (Evanston, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaroslaw Dzwinyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaroslaw Dzwinyk accept?

Health plans from Oscar Health list Jaroslaw Dzwinyk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jaroslaw Dzwinyk affiliated with any hospitals?

According to CMS data, Jaroslaw Dzwinyk is affiliated with Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Jaroslaw Dzwinyk was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.